结直肠癌造口患者夫妻疾病沟通现状及影响因素

Couple disease communication and its influencing factors among stoma patients with colorectal cancer

目的了解结直肠癌造口患者夫妻疾病沟通现状及影响因素,为提高夫妻沟通干预效果提供参考。方法便利抽取221例结直肠癌造口患者,使用一般资料问卷和夫妻癌症相关沟通问题量表对患者进行调查。结果肠造口患者夫妻癌症相关沟通总分为(17.10±5.20)分。多元回归分析结果显示,家庭月收入、TNM分期、自我护理能力和造口时间是肠造口患者夫妻疾病沟通的影响因素(P<0.05,P<0.01)。结论肠造口患者夫妻疾病沟通问题处于中等水平,低收入、晚期、造口时间短及自我护理能力低下的患者更容易与配偶出现疾病沟通问题,可据此制定夫妻沟通培训方案,从而改善夫妻沟通问题。

Objective To understand the status and influencing factors of couple disease communication among stoma patients with colorectal cancer,and to provide reference for improving intervention effect of couple disease communication.Methods Totally 221 colorectal cancer patients with stoma were conveniently selected,then they were investigated using the general information questionnaire and Cancer-related Communication Problems Scale.Results The total score of couple cancer related communication among colorectal cancer patients with stoma was(17.10±5.20).Multiple linear regression analysis showed that,monthly income,TNM staging,self-care ability and stoma time were the influencing factors of disease communication among stoma patients with colorectal cancer(P<0.05,P<0.01).Conclusion The disease communication of stoma patients with colorectal cancer is at a medium level.The patients with low income,advanced stage of cancer,short stoma time and low self-care ability are prone to experience disease communication problem with their spouses.It is suggested to develop targeted couple communication training program,so as to improve couple communication problems.